MRS. AMANDA JEAN JOHNSON (PA-C) – Surgical Physician Assistant, NPI 1679569024

MRS. AMANDA JEAN JOHNSON (PA-C) is a healthcare provider. based in Madison, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2394 (WI). The NPI Number for MRS. AMANDA JEAN JOHNSON (PA-C) is 1679569024

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA JEAN JOHNSON (PA-C)
NPI
1679569024
Phone
(608) 260-6000
Address
1821 S Stoughton Rd
Enumeration Date
21 September 2005
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6089140100
Graduation Year
2005 (21 years ago)
PAC ID
1355366394
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20090617000381
Address ID
WI537182000MA4621XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MRS. AMANDA JEAN JOHNSON (PA-C)

  • 1821 S Stoughton Rd

    Dean Medical Center

    Madison, WI 537162257

    Phone: (608) 260-6000

    Type: Location

  • 4621 EASTPARK BLVD

    MADISON, WI 537182000

    Phone: (608) 915-0100

    Type: Location

  • Dean Clinic - Madison East, 1821, South Stoughton Road, Madison, Dane County, Wisconsin, 53716, United States

    DEAN MEDICAL CENTER

    MADISON, WI 537162257

    Phone: (608) 260-6000

    Type: Mailing

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone: (608) 260-6000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($64).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090617000381IPhysician AssistantWITBD
I20170501001959IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes115114$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10156$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9548$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5021$0
99497Advance care planning, first 30 minutes4334$0
View full utilization report →

Insurance plans in this area (ZIP 53716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608785464View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA

Reviews

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Frequently asked questions

Does MRS. AMANDA JEAN JOHNSON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. AMANDA JEAN JOHNSON (PA-C) uses 1679569024.
Does the file indicate MRS. AMANDA JEAN JOHNSON (PA-C) is practicing under active NPI?
Directory data currently reports MRS. AMANDA JEAN JOHNSON (PA-C) as active.
What is MRS. AMANDA JEAN JOHNSON (PA-C)'s specialty?
The listing groups MRS. AMANDA JEAN JOHNSON (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. AMANDA JEAN JOHNSON (PA-C) based?
MRS. AMANDA JEAN JOHNSON (PA-C) is tied to Madison, Wisconsin in the data we show; additional addresses may exist on the full record.
Is the information about MRS. AMANDA JEAN JOHNSON (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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